Patient Access Representative - Admitting

CHRISTUS Health • Tyler, TX

1d

About The Position

Patient Access Representatives welcome patients and facilitate access to the facility by establishing an encounter for patients who meet the guidelines for hospital services. They accurately enter demographic, financial, and other account information; verify insurance and authorizations; and collect patient portions, including prior balances. The role supports the successful financial outcome of patient services and helps ensure compliance with Federal regulations, JCAHO, and Department of Health and Hospital standards. Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position calls for professional appearance and conduct, strong communication and organizational skills, dependability, flexibility, and teamwork.

The representative may support patient access work across hospital areas as patient volumes change, including reassignment to another department area or a shift change. The role also supports disaster response, performance targets, required training, standard processes, team workflow, and a clean and orderly workplace. The representative protects patient confidentiality and adapts services to patients’ physical, psychosocial, cultural, age-specific, and developmental needs.

Requirements

• High school diploma or equivalent experience preferred.
• 1–3 years of experience preferred.
• No licenses, registrations, or certifications required.
• Professional appearance and behavior, good communication skills, effective organizational skills, dependability, flexibility, and teamwork.

Responsibilities

• Meet expectations of the applicable OneCHRISTUS competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Accurately enter required scheduling and registration data, including patient demographic, financial, guarantor, and encounter-note information.
• Verify insurance eligibility and obtain necessary authorizations for services.
• Calculate and collect estimated patient portions based on benefits and contract reimbursement, as well as prior balances.
• Perform financial assessments for appropriate assistance programs.
• Explain hospital documents and obtain signatures from patients or legal guardians.
• Represent the Patient Access department professionally and courteously.
• Assist the hospital during internal or external disasters.
• Support flexible departmental staffing needs, including work in other areas and shift changes, to accommodate patient volume.
• Help the department achieve established performance targets and complete required training.
• Follow established standard processes and contribute to an efficient, clean, and orderly workplace using 5S principles and practices once implemented in the work unit.
• Coordinate, communicate, and assist with monitoring workflow and tasks to manage fluctuating volumes.
• Provide feedback to the team about educational and mediation needs by reporting issues, problems, and opportunities (IPOs).
• Perform assigned responsibilities in a manner that meets the population-specific and developmental needs of those served, adapting service methods to individual needs.
• Comply with applicable state and federal agency, hospital, and other regulatory policies, procedures, and standards.
• Protect patient confidentiality and disclose confidential information only when necessary to perform assigned duties.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED